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HomeMy WebLinkAboutPermit Electrical 2005-7-25 . . CITY OF SPRINGFIELD ' Building/Combination Permit PERMIT NO: COM2005-00964 ISSUED: 07/25/2005 APPLIED: 07/2512005 EXPIRES: 01125/2006 VALUE: Status: Issued ~ 225 Fifth Street, Springfield, OR , 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line SITE ADDRESS: 1250 Rainbow Dr ASSESSOR'S PARCEL NO.: 1703273402602 Springfield TYPE OF Electrical Work Only TYPE OF USE: Addition Residential PROJECT DESCRIPTION: Electrical Only, Power Pedestal Owner: RAINBOW VILLAGE INC Address: 1250 RAINBOW DRNE SPRINGFIELD OR 97477 I CONTRACTOR INFORMATION. , Contractor Type Electrical Contractor TONY KOTH License 59748 I BUILDING INFORMATIONI Expiration Date 05/04/2006 Phone 541-688-8996 # of Units: Primary Occupancy Group: Secondary Occupancy Yrimary Construction Type Secondary Construction # of Bedrooms: # of Stories: Lot Size: Height of.. S~ !!2q~tt!"I.O:or~K Typeof1fe~t::',t.'::,. f>-ll t.y.,I'I\'S~ F;\.~~~ f!or.r::l Water, Type'\L l,c\'\I,'\I\ s\\ Ul" i\-\I~Sq\FtBasement: ,t, v l.. UN "'Ir" rV<1 Range TYP,e,:, \ \llhIL\:O 'IS t\\3A\~!iIFt Garage/Carport Energy Path: t 'l''''tU 0\-\ Sq FtOther: CO'I'\ {W"'ll\) Sprinkled '" lJt\~ PlnJa ' Occupant Load: ,,," 1~\J I DEVELOPMENT INFORMATION I REQUIRED PARKING Front yard Setback: Side 1 Setback: Side 2 Setback: '; Rearyard Setback: Solar Setbacks: Overlay D1st: # Street Trees Paved Drive Rqd: % of Lot Coverage: Total: Handicapped: Compact: IPUBLIC IMPRv ~ ",n"" TSI Street 'reS yOU to . Oregon laW reqU\ UtIlity Storm Sewer A vaila'l!~O~. ted by the Oregon t 10rtl'1 Special Instruction: ""'ilGO rulGSl!ldOP 'Tl'1ose rules are se2 001, w canter. 1'1 Op.,f', 95 . Notes: \i.\otm~~$1..o010tl'1rO~~s oH\'16 rules by tn ~ \l'n<. YrB1 obtain, ~~~o. 1M telephOne_ "",OCi1\n9~Cillru"...I-- \II"Y \;2.:.... -...... ~...w.:!l ~ \he ore$C\9 ~blltinMDescriDtion I \ll.lIo"--'l!;;0nter \l'l1..f.- ' T f C t t. S Per Sq Ft Square Footage vpe 0 ons rue IOn Iti n Bid Am t ormu p er or oun Sidewalk Type: DownspoutslDrains Description Value Date Calculated 1 of 2 . . CITY OF SPRINljN~LD Status: Issued 225 Flfth Street, Springfield, OR 541-726-3753 Phone 541-726-3676 Fax 541-726-3769 Inspection Line Building/Combination Permit PERMIT NO: COM2005-00964 ISSUED: 07/25/2005 APPLIED: 07/25/2005 EXPIRES: 0112512006 VALUE: Total Value of Project Fp.p.s Paid I Fee Description + 10% Administrative Fee + 7% State Surcharge Perm ServlFdr 200 amps or less Amount Paid $6.30 54.41 $63.00 Date Paid 7/25/05 7/25/05 7/25/05 Receipt Number 1200500000000001067 1200500000000001067 1200500000000001067 Total Amount $73.71 I Plan Reviews I To Request an inspection call the 24 hour recording at 726-3769. All inspection requested before 7:00 a.m. will be made the same working day, inspections requested after 7:00 a.m. will be made the following work day. Electric Service: Approval required prior to utility company energizing service. By signature, I state and agree, that I have carefully examined the completed application and do hereby certify that all information hereon is true and correct, and I further certify that any and all work performed shall be done in accordance with the Ordinances of the City of Springfield and the Laws of the State of Oregon pertaining to the work described herein, and that NO OCCUPANCY wID be made of any structure without permissinn of the Community Services Division, Building Safety. I further certify that only contractors and employees who are In compliance with ORS 701.005 will be used on this project. I further agree to ensure that all required inspections are requested at the proper time, that each address Is readable from the street, that the permit card is located at the front of the property, and the apprnvcd set of plans wID remain on the site at all times during construction. Owner or Contractors Signature Date 2 of 2 225 Fifth Street Springfield, Oregon 97477 541-726-3759 Phone Job/Journal Number COM2005-00964 COM2005-00964 COM2005-00964 Payments: Tlpe of Payment Check ., 7/25/2005 . RECEIPT #: 7'~INQ:"~ --- i, WiL - , , " .I . "--"-_. ~ty of Springfield Official Receipt .velopment Services Department Public Works Department 1200500000000001067 Description + 7% State Surcharge + 10% Administrative Fee Penn Serv/Fdr 200 amps or less Paid By LITE ELECTRIC Received By djb 1 of I Date: 07/25/2005 Item Tolal: l:beck Number Aulborization Batch Number Number How Received 6824 In Person Payment Total: 1:31:42PM Amoont Due 4.41 6,30 63,00 $73.71 Amoun! Paid $73,71 $73.71